Prasad, Shakuntala
Prasad, Shakuntala is an individual health care provider with primary practice located at 111 Brewster St Memorial Hospital Of Ri / Dept.Of Physical Med/Rehab, Pawtucket RI 02860-4400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Prasad, Shakuntala can be contacted via phone (401) 729-2326.Contact Information
Primary practice address
111 Brewster St Memorial Hospital Of Ri / Dept.Of Physical Med/Rehab
Pawtucket RI 02860-4400
Phone: (401) 729-2326
Fax: (401) 729-3886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD06405 | Rhode Island |
Profile Details
| NPI number | 1548237399 |
|---|---|
| LBN Legal business name | Prasad, Shakuntala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Sep 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548237399 | NPPES |
| Massachusetts | MEDICAID | 110087842A | |
| Massachusetts | Other | 007057385 | |
| Massachusetts | MEDICAID | 7002088 |
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